Presentation on theme: "October 9 th thru November 9th. Open Enrollment 2013 AGENDA ID Password What’s New Flex Benefits? What’s New State Health? Completing the Process Important."— Presentation transcript:
October 9 th thru November 9th
Open Enrollment 2013 AGENDA ID Password What’s New Flex Benefits? What’s New State Health? Completing the Process Important Dates and Links Questions
Forgot Your User ID or Password? FLEXIBLE BENEFITS Access the GA Breeze website at Click “LOGIN” on the GA Breeze portal. Either “I Forgot My User ID” or “I Forgot My Password”. You will then be asked personal identifying information, which is your SSN and Birth Date. Once this information has been entered you will be asked security questions which you entered when you first signed up on GA Breeze. Need Help? Call the GA Breeze Benefits Center at GBrees ( ) Representatives are available to assist you Monday thru Friday from 8:00 am to 5:00 pm.
Forgot Your User ID or Password? STATE HEALTH You will need to register on the Department of Community Health website at before you can make your 2013 electionwww.myshbp.ga.gov You may go online as many times as you like - but the last election confirmed at the time OE closes will be your election for the 2012 Plan Year
What’s New with Flex Benefits?
Dental Plans – Delta Dental New! Effective January 1, 2013, Delta Dental will be replacing United Concordia as the State of Georgia’s dental provider New! Effective January 1, 2013, Delta Dental will be replacing United Concordia as the State of Georgia’s dental provider Delta Dental will offer two coverage options to choose from: Select Plan Select Plan Select Plus Plan Select Plus Plan The four family tier levels will remain the same Premium rates will remain locked through PY 2015
Dental Plans – Delta Dental Transition from United Concordia to Delta Dental: Employees currently with U.C. Regular will be transferred to Delta Dental Select Plus Plan Employees currently with U.C. PPO will be transferred to Delta Dental Select Plan Employees will have the option during Annual Enrollment to change from one plan to another
Dental Plans – Delta Dental No orthodontia benefits under the Select Plan No orthodontia benefits under the Select Plan and adults Orthodontia benefit is available for children and adults under the Select Plus Plan Participants currently receiving orthodontia treatment will be eligible for the balance of the maximum coverage amount
Delta Dental Network Participants are free to choose any licensed dentist Approx. 6,400 dentist locations in Georgia Network dentists agree to set fees based on Delta Dental’s allowances and cannot balance bill Delta Dental pays participating dentists directly; participant pays their responsible amount at time of treatment Network dentists complete all claim forms/paperwork Network dentists are credentialed
Premier Dentists are defined as secondary PPO (in network) dentists. Premier Dentists usually charge somewhat higher contracted fees.
* Premier Dentists are defined as secondary PPO (in network) dentists. Premier Dentists usually charge somewhat higher contracted fees.
Premium Rates Select Plan – You Only$24.08 – You + Spouse$46.65 – You + Child$48.89 – You + Family$68.40 Select Plus Plan – You Only$38.45 – You + Spouse$75.01 – You + Child$78.66 – You + Family$110.27
Employee, Spouse, Child Life and AD&D Plans – Minnesota Life Increase the Employee Life and AD&D maximum coverage from $500,000 to $1 million Employees capped at $500k can increase coverage to the uncapped amount on a guarantee issue basis Waiver of premium for permanent/total disability will be removed from the plans – Reduces the premiums by an average of 13% – Current participants on active waivers will continue
Disability Plans – The Standard No change in plan design or premiums for the Short Term Disability Rate decrease of 5% for LTD premiums LTD maximum benefit will increase from $4,000 to $5,000 per month Maximum benefit period will increase from age 65 to age 67 Coordinate with Social Security Normal Retirement Age No change on current employee claims; only claims initiated on or after January 1, 2013
Critical Illness Plan – CAIC No changes to premiums for the current option Name change of the current option – Select Plan New! Additional option level – Select Plus Plan Provides same critical illness coverage under the Select Plan Includes Accidental Coverage These changes are applicable to both the Employee and Spouse Specified Illness benefits Additional features of the Accident Coverage 24-Hour coverage No limit on the number of claims
Critical Illness Plan – CAIC Benefits included under the Accident Coverage (Select Plus Plan) Medical Fees (Physician Charges, X-Rays, Emergency Room Services and Supplies) Hospital Fees (Hospital Admission, Daily Hospital Confinement and Intensive Care) Accidental Injuries (Fractures/Dislocations, Lacerations, Tendons/Ligaments, Ruptured Disk, Torn Knee Cartilage, Burns, Eye Injuries) Accident Follow-up Benefits (Physical Therapy, In-patient Rehab, Follow-up treatments) Additional Benefits (Family Lodging, Transportation, Gunshot Wound, Paralysis, Prosthesis) A complete list of benefits and descriptions will be available in the Critical Illness Select Plus communication materials
Spending Accounts – SHPS/ADP SHPS has become a part of ADP ADP branding on future HCSA and DCSA materials The customer service phone number, fax number, and mailing address will remain the same No increase in admin fees with current plan design HCSA annual maximum will reduce from $5,040 to $2,460 Monthly maximum will be $205 Compliance with Patient Protection and Affordable Care Act (PPACA) Note: a monthly administration fee of $3.20 is included in the total contribution amount Employees who contributed a larger amount in 2012 will be reduced to the new HCSA maximum for 2013
Vision – Spectera Branding name will change from OptumHealth to Spectera Select Plus Plan will have the following enhancements: Frequency of frames will change to once every 12 months Frame allowance of $150 is provided for private practice or retail chain providers Standard contact lenses will have a $200 allowance Allow up to 8 boxes of standard, disposable lenses Out-of-network allowance for contact lenses will increase to $200 under the Select Plus Plan
Vision – Spectera New premium rate structure for the Select Plus Plan You Only $8.62 You + Spouse $18.61 You + Child $19.45 You + Family $26.35
No Plan or Premium Changes Dental DHMO - Cigna Legal Long Term Care
What’s New with State Health?
Benefit Changes for the HRA, HMO and HDHP Plans 2013 Wellness Promise SHBP Going Green PeachCare for Kids Premium Increases
A copy of the SHBP presentation can be found at…
What do I need to do to complete the process? Once you have made your selections online, you should print and keep a copy of the confirmation page from both GA Breeze and SHBP. This contains a confirmation number and the selections you have made. Please print a copy and send to Sharon Veal, Director of HR, North Campus. You may access OE as many times as you want but what is in the system at the closing time on November 9 th will be your selections for the year.
IMPORTANT DATES AND LINKS 2013 Annual Enrollment Dates: Tuesday, October 9 th - Friday, November 9 th Links: Flexible Benefits GA Breeze Call Center ~ State Health OFTC – Faculty and Staff / Forms and Links